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Alaska rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $14.00 / $26.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $26.89 / $32.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $26.84 / $28.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $26.89 / $32.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $20.10 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $14.09 / $30.98